Question

A 55-year-old woman with no cardiovascular disease has total cholesterol 6.2 mmol/L, HDL 1.0 mmol/L and LDL 4.1 mmol/L. Her blood pressure is 128/78 mm Hg, she is a non-smoker and has no diabetes. Her calculated 10-year cardiovascular risk using the Framingham Risk Score is 15%. According to CCS dyslipidaemia guidelines, what is the best management of her lipids?

Accepted Answer

Start moderate- to high-intensity statin therapy now

Answer

Lifestyle measures only; no statin therapy

Answer

Start low-dose statin therapy only if LDL rises above 5.0 mmol/L

Answer

Order a coronary CT angiogram before deciding on statin therapy

Answer

Recommend over-the-counter red yeast rice instead of statin therapy

Practice question